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Allison Singh

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Should Educational Institutions Screen for Mental Illness?

Posted: 07/30/2012 4:20 pm

During orientation at my alma mater many years ago, I was horrified to learn about the mandatory swim test. I wasn't afraid of the water. I was afraid of wearing a bathing suit in front of my new classmates. I knew relations between the sexes moved quickly in college, but flashing this much skin before exchanging names struck me as a bit extreme.

As I walked to the pool, a towel wrapped tightly around me, I just couldn't figure out the connection between swimming and a college education. Would my professors or future employers care about my ability to reach the other end of the pool without passing out from exhaustion, or in my case, humiliation? Had I missed the question about swimming proficiency on my application?

I raise this anecdote to refute those who argue that screening for mental illness is too heavy a burden to place on educational institutions. If my college could coordinate getting every freshman into the pool during orientation week, and then enrolling all of the flunkies into a swim class first semester, they can find a way to identify students suffering from mental illness.

The fact is that schools can, and do, screen for whatever they want. Just attend a local kindergarten screening and you'll see what I mean. Heck, my son pulled pony tails in daycare and they wanted him evaluated by an occupational therapist. He was almost 2-years-old. I declined their offer. The hair pulling stopped by the time he was two and a half.

Sadly, it seems like the older kids get, the less we monitor them for red flags that could be cries for help. We hover over them in the early years, but as they mature, our concerns turn to sexual activity, drug use and then the college admissions process. Mental illness is ignored, just as kids reach an age when they can inflict the most harm on themselves and others. How have we gotten to a point where hair pulling is a cause for alarm, but anti-social behavior in high school is shrugged off?

True, there is no easy test for mental illness, but that doesn't mean we shouldn't try. Autism is perplexing, but we have made impressive progress in diagnosing and treating this condition. Special education professionals have played a critical role in addressing the needs of autistic students, and we should use school psychologists in the same way.

Here are a few suggestions: Yearly psychological evaluations from middle school through high school. Better mental illness training for school officials. Make sure kids get the help they need. College questionnaires for school counselors included as part of the application process. Mandatory sessions with college psychologists during orientation, just like students meet with academic and financial aid advisors.

And we have to keep our eyes open. Just like the NYC subway system asks of us, "If you see something, say something." Big Brother in our schools? Perhaps, but the talk we hear after every shooting tragedy is no less severe. Instead of fewer people carrying weapons we see a spike in gun sales. More schools install metal detectors. What we forget is that keeping our eyes open for suspicious behavior is our only protection against those too clever and psychopathic to be stopped by conventional measures.

Parents and privacy advocates might object to flagging students being treated for mental illness. Yet, we have no problem flagging students for other reasons -- gifted, delayed, diabetic, asthma, peanut allergy, etc. We flag because we care, because we want these students to get the services they need. The real problem with flagging for mental illness stems from the societal stigma that persists for these conditions. However, the only way to erase this stigma is to bring mental illness out into the open, just as we have for learning disabilities and sexual orientation. The success stories of students who are being treated successfully, and that is the goal, could encourage others to seek treatment.

As the nation grapples with the tragedy in Colorado, let's not forget that the alleged shooter was a PhD candidate, which means he spent most of his life in school. He might convince a jury he was insane. We should ask why his various educational institutions couldn't figure that out before it was too late.

 
 
 

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During orientation at my alma mater many years ago, I was horrified to learn about the mandatory swim test. I wasn't afraid of the water. I was afraid of wearing a bathing suit in front of my new cl...
During orientation at my alma mater many years ago, I was horrified to learn about the mandatory swim test. I wasn't afraid of the water. I was afraid of wearing a bathing suit in front of my new cl...
 
 
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Jenny527
12:30 AM on 08/15/2012
I completely agree. As a mentally ill student and adult, I feel it is my right and my business to inform who I feel is necessary that I'm mentally ill. Few reasons. A.) not all with a mental illness are a threat or are dangerous and can function as the 'norm' do in society. B.) some mentally ill people actually acknowledge this a seek treatment and remain in treatment. C.) having it on any record, other then medical, that I have a mental illness can sereverly and negatively impact any future prospects in employment and education. Having an allergy, or asthma, or diabetes does not produce the same negative stigma associated with mental illness. And publically outing us will not change anything, it will only harm us more. It will label us, ostracize us, hinder us in future endevours and can quite possibly contribute to reinforcing our symptoms (i.e. bipolar, more depressive episodes.). To many things can go wrong with this plan.
02:26 PM on 08/01/2012
I think we should be even more proactive. I think there should be mandatory mental health screenings for any adult who decides to conceive and raise a child. Period evaluations throughout the child's life.
12:45 PM on 08/07/2012
Honestly, how many people would think their parents would pass?
07:28 AM on 08/01/2012
They've been doing it for years.... I recall it started with ADD all of a sudden in the 90's kids were being "diagnosed" with ADD and FORCED to medicate or be kicked out from school. The system was rigged and the kids the losers!
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Ty2010
12:51 AM on 08/01/2012
The still same reason they were outlawed, evaluations can have a definite political skew, once a requirement, they will most definitely.
12:19 AM on 08/01/2012
I think these debates need to distinguish more clearly between psychosis (overwhelming delusions and hallucinations etc) and psychopathy (anti-social due to lacking basic emotions/empathy/self-control etc or having excessive impulsive anti-social emotions).

The former could lead to the latter in a sense, but it is a different thing to be genuinely perceiving other people as, say, time-travelling invading aliens putting thoughts in your brain.

Doesn't help that the terms for them are so similar, and both based on the very general 'psych' or mind, I suppose.
05:44 PM on 07/31/2012
Terrible idea. I can only imagine this variety of "entrance exam" screening would lead to discrimination--either overt or covert. Wouldn't parents use this as leverage to ensure that their young adult, mentally healthy "child" not be assigned a roommate flagged with mental health issues? And if we're screening for mental health issues, we'd better start screening (and testing?) for drug and alcohol use/abuse by college students, as addiction issues qualify in the DSM as mental health issues. And one of the signs of being an alcoholic or binge drinker is drinking 5+ drinks in an evening, or if drinking impairs schoolwork, work performance, friendships, sexships. And we all know (wink wink), that no college students ever get drunk or drinks more than 5 drinks over the course of the evening or ever had a hangover that forced them to skip class. And then of course, there's screening for depression (which may wax and wane)--which would likely identify every college student, at some point in their college years, as mentally ill. This branding feels more akin to eugenics than an attempt to help those suffering from mental illness. I might add, I'd likely not have made it into my prestigious college or had any roommate at all if I'd taken such a screening.
08:45 PM on 07/31/2012
Wow...a truly monstrous idea. Screening is never a reliable indicator of mental health problems, and this idea opens a Pandora's box for kids to be alienated and stigmatized. Not to mention, we'll see many more kids "treated" in a broken system, which relies primarily on medication that offers a lifetime of side effects. It truly is "Big Brother" in our schools..what's next? And why does a "progressive" website like Huffington Post publish material straight out of the right-wing playbook, esp. when it comes to mental health issues??
01:18 PM on 07/31/2012
i think we should screen our teachers, state administrators, and politicians for mental illnesses. Maybe a few others. Let's administer them a polygraph test while we're at it.
12:52 PM on 08/07/2012
I am a teacher and I agree. I had to undergo an evaluation before I worked in a psychiatric hospital (that, in itself, was a valuable experience for a teacher).
11:24 AM on 07/31/2012
I very much agree. Unfortunately mental illness still takes a backseat to physical illness. People fail to understand that the two are equal and not completely separate entities. Even worse, a lot times mental illness is not professionally diagnosed and obviously, is misdiagnosed. It's not depression, it's just somebody feeling down. That child just needs a good butt whooping, not a psychological evaluation to detect his emotional disturbance or ADHD. So yes, I think that just like we get routine physicals, we should also routinely check our mental health as well.

http://www.blackwiththeblues.com/
09:20 PM on 07/31/2012
In general I agree, but I'm still not confident that school is the place to do it. You get routine physicals with a private doctor, not an underpaid school nurse responsible for a few thousand students. School psychologists have an awful lot on their plates already without being responsible for screening all of their students.
11:39 AM on 08/01/2012
You're right. I suppose you can say the same about social workers
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see-ellen2001
10:19 AM on 07/31/2012
An issue is the parents. They can nix any kind of assessment based on a teachers observation, such as mental health issues. If a teacher notices something, the parents need to authorize formal intervention. Since MH issues don't always exhibit themselves in academic performance problems, then the parents may disregard any concerns. Or just good old 'head in the sand' parenting.
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12:58 PM on 07/31/2012
Yes, this is exactly the reason many students can go on with mental illness without treatment, and get worse with it as time passes.
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DJ Jaffe
Founder, Mental Illness Policy Org.
09:25 AM on 07/31/2012
This is one of the more naive ideas I've heard. You can screen all you want, and even if you could identify 100% who have a mental illness and have no false positives, it still wouldn't work. Why? Laws in this country give people the right to refuse treatment until after they become dangerous. Rather than prevent violence, the law requires it. I do not know of any constitutional way to work around that, that doesn't violate someone's rights. However, there are constitutional ways to require treatment after someone has had previous incarcerations or involuntary commitments. We should adopt those laws and then talk about screening. You can learn about California's Law (Laura's Law) at http://lauras-law.org and NY's law at http://kendras-law.org
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lagunasuz
02:02 AM on 07/31/2012
I think teachers do look for students who might have mental health issues or learning style issues that have not been diagnosed. Ever since Columbine we have been instructed to be extremely watchful and we read student's writien work carefully and their art work and look for signs of aggression, violence, use of guns, drugs, etc. if we think a student is having violent tendencies or thoughts, we report those findings to our school counselor or school psychologist.
If you are a good teacher, you know your students, you know if you have a loner, an odd duck, and you watch and you try to get know that student as best you can. When that student leaves your classroom, you let the new teacher to keep an eye on that student. We have also had so many students commit suicide that it is also necessary for us to monitor students who don't seem to fit in, feel sad, or are alone most of the time.
10:28 PM on 07/30/2012
As a student with mental health problems, this idea really disturbs me. Undergoing mental health testing and treatment in private during high school and college was already terrifying and embarrassing; doing it publicly, with the implications that my results would influence my education and college experiences, would seriously encourage me to hide my problems for fear of being misunderstood, signaled out or other consequences, even if the intention was nothing but the best. Until the stigma around mental health decreases, putting students in a position where they would have to reveal mental health problems to admissions officers, administrators or teachers is more scary than supportive.
(Training teachers to recognize and respond positively to the needs of students with mental health issues, on the other hand, is an excellent idea. But that kind of support can be conducted privately between the student and the teacher as needed, not just broadly applied to everyone.)
11:17 AM on 07/31/2012
Excellent comment, thank you.
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Ariel Bonzai
Naked is the best disguise.
06:19 PM on 07/30/2012
I want to add that teachers are being made mentally ill by the barrage of abuse we presently suffer. Our distructs are unethical, corruot and appear yo be personality disorders. With the media and Rhee Formers we are suffering PTSD, depression, anxiety attacks, and other emotional disturnpbances. We love our work, it made us happy and to ses it all destroyed to further a filthy rich agenda is devestating.
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Shaun Hensley
The American Experiment has failed
04:58 PM on 07/30/2012
Imagine if we were able to identify and remove all sociopaths and psychopaths from the general population at a very young age, before they have a chance to rise to positions of power.